MedReview is looking for a hands-on Systems Engineer who thrives in owning and optimizing infrastructure across both on-prem and cloud environments. This role is critical to maintaining the performance security, and scalability of our core systems.
If you're someone who enjoys building environments from the ground up, solving complex infrastructure challenges, and working across cloud and enterprise systems, this role is for you. This position is on-site in NYC Monday - Thursday and remote on Fridays.

Responsibilities:

Manage and maintain enterprise infrastructure across on-prem and Azure environments
Lead system upgrades, patching, and performance optimization initiatives
Design and support disaster recovery and high availability environments
Own VMware environments (vSphere/vCenter) and virtualization strategy
Administer and optimize Active Directory, DNS, Group Policy, and identity systems
Support storage environments (SAN/NAS) and troubleshoot performance issues
Partner with internal teams to ensure system reliability, security, and scalability

Must-Have Experience (Non-Negotiables):

5+ years of hands-on Systems Engineering experience
Strong experience with Microsoft Azure (architecture, Entra ID, Intune, networking)
Deep experience with VMware (vSphere/vCenter)
Strong background in Active Directory & Windows Server environments
Experience with storage systems (SAN/NAS) and infrastructure troubleshooting
Proficiency with PowerShell or Azure CLI

Nice to Have:

Experience with Cisco UCS or similar compute environments
Exposure to security tools like CrowdStrike, Zscaler, or Mimecast
Experience with monitoring tools (SolarWinds, Netwrix, etc)
Healthcare or HIPPA-compliant environment experience
VOIP and backup/storage solutions

What we're looking for:

Someone who can operate independently and take ownership
Strong problem-solver who can troubleshoot and fix issues end-to-end
Detail-oriented with a proactive mindset
Comfortable working in a fast-paced, high accountability environment